Nanomedicine Lab, UCL School of Pharmacy, University College London, Brunswick Square, London WC1N 1AX, United Kingdom.
School of Pharmacy, Queen's University Belfast, United Kingdom.
Nanotheranostics. 2022 Jan 1;6(3):230-242. doi: 10.7150/ntno.61280. eCollection 2022.
Mild hyperthermia (HT) (40-43 °C) has been combined with temperature-sensitive liposomes (TSL), offering on-demand drug release for increased drug bioavailability and reduced systemic toxicity. Different HT regimens have been applied to trigger liposome drug release in the blood vessels (intravascular) of heated tumours or following tumour extravasation (interstitial). The present study systematically assessed the doxorubicin (Dox) release and therapeutic efficacy of Dox-loaded TSL with different release profiles. Low temperature-sensitive liposomes (LTSL-Dox), traditional-temperature-sensitive liposomes (TTSL-Dox), and non-temperature-sensitive liposomes (NTSL-Dox) were combined with a single or two HT in different tumour models (murine melanoma B16F10 tumour and human breast MDA-MB-435). The efficacy of each treatment was assessed by monitor tumour growth and mice survival. The level of Dox in tumour tissues was quantified using C-Dox and liquid scintillation while Dox release was assessed using live imaging and confocal laser scanning microscopy. Applying a second HT to release Dox from extravasated TTSL-Dox was not therapeutically superior to single HT application due to Dox clearance from the extravasated TTSL-Dox. Our findings revealed that enhanced blood perfusion in heated tumours during the second water bath HT could be seen as a hurdle for TTSL-Dox's anticancer efficacy, where the systemic toxicity of the redistributed Dox from the tumour tissues could be potentiated.
轻度热疗(HT)(40-43°C)与温度敏感脂质体(TSL)联合使用,可按需释放药物,提高药物生物利用度,降低全身毒性。不同的 HT 方案已应用于触发加热肿瘤血管内(血管内)或肿瘤外渗后(间质)的脂质体药物释放。本研究系统评估了不同释放曲线的载多柔比星(Dox)脂质体的 Dox 释放和治疗效果。低温敏感脂质体(LTSL-Dox)、传统温度敏感脂质体(TTSL-Dox)和非温度敏感脂质体(NTSL-Dox)与单次或两次 HT 联合应用于不同肿瘤模型(鼠黑素瘤 B16F10 肿瘤和人乳腺癌 MDA-MB-435)。通过监测肿瘤生长和小鼠存活来评估每种治疗的疗效。使用 C-Dox 和液体闪烁计数定量测定肿瘤组织中的 Dox 水平,而使用活体成像和共聚焦激光扫描显微镜评估 Dox 释放。由于从外渗的 TTSL-Dox 中清除 Dox,将第二次 HT 应用于从外渗的 TTSL-Dox 中释放 Dox 并没有比单次 HT 应用更具治疗优势。我们的研究结果表明,在第二次水浴 HT 期间加热肿瘤中的血液灌注增强可被视为 TTSL-Dox 抗癌疗效的障碍,其中从肿瘤组织重新分配的 Dox 的全身毒性可能会增强。